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[General] CCRN-Adult Certificate Exam | New CCRN-Adult Mock Test

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【General】 CCRN-Adult Certificate Exam | New CCRN-Adult Mock Test

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AACN CCRN-Adult Exam Syllabus Topics:
TopicDetails
Topic 1
  • CLINICAL JUDGMENT: This section measures the skills of Critical Care Nurses and covers a wide range of medical conditions across various systems. It includes cardiovascular issues such as acute coronary syndrome, heart failure, and cardiomyopathies, demonstrating the need for in-depth knowledge in managing these critical conditions. The section also addresses respiratory emergencies like pulmonary embolism and ARDS, emphasizing the importance of understanding respiratory failure and chronic conditions.
Topic 2
  • Facilitation of learning is emphasized, indicating the role of nurses in educating patients and families about health management. Collaboration is another key component, focusing on teamwork within healthcare settings to improve patient outcomes. Systems thinking is included to encourage understanding of how different components of healthcare interact. Finally, clinical inquiry is highlighted as a means to foster evidence-based practice and continuous improvement in patient care.
Topic 3
  • In musculoskeletal, neurological, and psychosocial areas, the syllabus includes managing trauma, neurological disorders, and behavioral health issues. This emphasizes the holistic approach required in critical care settings. Lastly, multisystem complications such as sepsis and shock states are included to assess the ability to manage life-threatening conditions that affect multiple organ systems.
Topic 5
  • The endocrine, hematology, gastrointestinal, renal, and integumentary domains are also covered, focusing on conditions like diabetes mellitus, acute kidney injury, and infections. This section highlights the need for nurses to manage complex patient scenarios involving multiple systems effectively.
Topic 6
  • PROFESSIONAL CARING & ETHICAL PRACTICE: This section assesses the skills of Clinical Nurse Leaders in professional caring and ethical practice. It covers advocacy and moral agency, highlighting the importance of representing patients' interests in healthcare decisions. The section also addresses caring practices that promote patient-centered care and response to diversity, ensuring that care is tailored to individual needs.

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AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q426-Q431):NEW QUESTION # 426
A 22-year-old female is admitted to the emergency department for a suspected overdose of Tricyclic Antidepressants (TCAs). Which of the following signs and symptoms would indicate a TCA overdose?
  • A. Seizures
  • B. Hypothermia
  • C. Miosis
  • D. Hypertension
Answer: A
Explanation:
Signs and symptoms of an overdose of tricyclic antidepressants include seizures, coma, dysrhythmias and ECG changes, heart failure, and shock.
Hypothermia, hypertension and miosis are not indicative of a TCA overdose.

NEW QUESTION # 427
If a patient is suspected of having an acute hypoglycemic episode, all of the following would be appropriate as a first intervention EXCEPT:
  • A. administer 6 oz. regular cola
  • B. draw a STAT blood glucose level
  • C. administer IV glucose or IM glucagon
  • D. check the patient's blood glucose with a glucometer
Answer: B
Explanation:
Although drawing a STAT blood glucose level may be part of a number of initial interventions, it should not be the first, since results will take too long to obtain. Patients who are suffering from acute hypoglycemia are at high risk of incurring permanent neurological damage since the primary energy source for the brain is sugar. Patients who are conscious should consume a simple sugar which will absorb rapidly (10 to 15 g carbohydrate), such as cola or glucose tablets. Patients who are unconscious outside the hospital setting or without IV access in the hospital setting should receive IM glucagon.
Patients who are conscious in the hospital setting with IV access may be given IV dextrose.

NEW QUESTION # 428
What test is considered the "gold standard" for diagnosing Peripheral Arterial Disease (PAD)?
  • A. Computed Tomography (CT)
  • B. Angioplasty
  • C. Ankle-Brachial Index (ABI)
  • D. Arteriogram
Answer: D
Explanation:
Arteriography is a minimally invasive test in which an arteriogram or "road map" of the arteries is made.
It provides details of the location and extent of arterial occlusion and is used to plan or guide treatments such as surgery, angioplasty, or stent placement. It is considered the gold standard for diagnosing PAD and offers the opportunity to both confirm the diagnosis and intervene to correct the pathology at the same time.
The Ankle-Brachial Index (ABI) is the ratio of the blood pressure at the ankle to the blood pressure in the upper arm (brachium). Compared to the arm, lower blood pressure in the leg is an indication of impending limb ischemia and possible blocked arteries due to PAD. Angioplasty is not a diagnostic test but rather an intervention once PAD is confirmed. Computed Tomography (CT) is not necessary as arteriography is the gold standard.

NEW QUESTION # 429
Which of the following is MOST LIKELY to cause papillary muscle rupture?
  • A. Chest trauma
  • B. Myocardial infarction
  • C. Hypertensive crisis
  • D. Mitral insufficiency
Answer: B
Explanation:
Myocardial infarction can cause papillary muscle rupture if blood supply to the tissues is diminished or absent. Hypertensive crisis and chest trauma are both much less likely to be a cause of papillary muscle rupture. Papillary muscle rupture will cause severe mitral insufficiency, but mitral insufficiency is not a likely cause of papillary muscle rupture.

NEW QUESTION # 430
The family of a critical care patient wants to be involved in their care. How should you facilitate this family member's learning?
  • A. Directing them to an online resource so that they can educate themselves
  • B. Ignoring the family's wishes as they could interfere with patient care
  • C. Providing reading materials on the condition and care procedures
  • D. Demonstrating care procedures and explaining as you perform them
Answer: D
Explanation:
Demonstrating care procedures and explaining as you perform them incorporates the principles of active participation and practical application. This method engages the family members and allows for immediate feedback and clarification. Providing reading materials on the condition and care procedures can be a helpful supplementary resource, but it is not as interactive or immediate as demonstration coupled with conditions. Ignoring the family's wishes as they could interfere with patient care disregards the family's wishes and does not foster a collaborative environment. Directing them to an online resource so that they can educate themselves ignores the nurse's responsibility to provide teaching and can result in the patient's family learning incorrectly.

NEW QUESTION # 431
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